FirstCPR - an intervention targeting clubs and organisations to increase training and willingness to respond to cardiac arrest in the community

INTERVENTION: The intervention program will be delivered across 12 months, with key outcomes assessed at the end of the 12m period. The intervention content will align with key messaging that will address: i) Awareness about OHCA, its health impact and the potential to prevent adverse outcomes through action ii) Recognition of a cardiac arrest iii) Rapid Response ‐ the importance of a timely first response including early CPR and defibrillation. Intervention content will be drawn from some existing and some new materials developed by partners(including materials compiled by NSW Health, Heart Foundation and not‐for‐profit organisations ‐Michael Hughes Foundation, Take‐Heart Australia, Surf‐Life‐Saving NSW). All materials to be used will undergo a review process managed by an operational committee of the steering committee to assess quality and alignment of material with current guidelines. The content has been finalised through a collaborative consultation with clinicians, experts, researchers, stakeholders, partners and consumers. The review process will involve a content review by experts as well as consumers. Intervention messages will be delivered in a variety of ways to reach out to all members of the participating organisations: (i) Digital delivery: Materials delivered in digital format will comprise of written, picture and video format and incorporate key messaging, education and information sent to members of participating organisations via text message on a fortnightly basis over a period of 12 months. It is expected that participants will spend approximately 5‐10 minutes engaging in the intervention messages and accompanying video/fact‐sheet material every fortnight. (ii) Information/educational sessions: A 1‐hour group information session will be delivered at CONDITION: Cardiovascular ‐ Other cardiovascular diseases Cardiovascular disease;Out‐of‐hospital cardiac arrests; ; Cardiovascular disease ; Out‐of‐hospital cardiac arrests Emergency medicine ‐ Resuscitation Public Health ‐ Health promotion/education PRIMARY OUTCOME: Proportion reporting ‐ being 'Trained and willing to perform CPR on a stranger' in Intervention community groups compared with Control community groups.; This means proportion that report 'yes' to the statement "Have you ever received any CPR training?" and also report 'Yes, probably' or 'Yes definitely' to the statement 'I would be willing to perform CPR (either standard or hands‐only) on a person collapsed and not breathing normally if they were a stranger'; ; This outcome will be assessed via an evaluation survey held at 12 month time‐point in both intervention groups (after completion of intervention) and control groups (prior to commencement of their intervention)[12 months post‐intervention commencement] SECONDARY OUTCOME: Comparison of 'Bystander CPR rates' in study areas before and after intervention. ; Tools to assess this outcome: Analysis of linked data from the NSW Public Health Risks and Outcomes Register(PHROR) that houses data from the NSW Out‐of‐Hospital Cardiac Arrest Registry, Hospital and Emergency Admissions data and Registry of Births Deaths and Marriages. [2‐year period after end‐of‐intervention compared with 2‐year period prior to commencement of intervention. ] Comparison of 'Survival rates' from Out‐of‐hospital cardiac arrest in study areas before and after intervention. ; Tools to assess this outcome: ; Redcap database that has been developed to document the implementation of all study components at every participating organisation. ; Mixed‐methods tools will be used to assess barriers and enablers outcomes including: ; ; These one‐on‐one semi‐structured interviews will run for about 30 minutes. They may be conducted in‐person or over the phone/zoom and will be recorded pending permission from interviewee. ; Tools to assess this outcome: Analysis of linked data from the NSW PHROR [2‐year period after end‐of‐intervention compared with 2‐year period prior to commencement of intervention. ] Fidelity of Intervention (i.e. was the intervention conducted as planned/intended) ; Audit documents that will be maintained be research personnel on a regular basis. [At regular intervals throughout the study and then a complete analysis at 12‐14 months) and again at 24‐26 months post intervention commencement ] Implementation outcomes (barriers and enablers), ; Key informant interviews with committee members of participating organisations and where possible organisations that refuse participation ‐ in the period immediately after screening and recruitment process and then again following intervention completion. ; ; Focus group discussions: with participating members in the period following completion of intervention. ; We will be conducting several semi‐structured focus group discussions with subgroups based on factors such as age, ethnicity. ; Group size is likely to be between 8‐10 people and are likely to run for between 60‐90minutes. ; We will provide the option of conducting these in‐person or virtually and will be recorded with permission and consent from participants. ; ; Field notes and Program Delivery Documents analysis: Analysis of notes documented by research assistants during the screening and recruitment period supplemented by analysis of quantitative data on key organisation characteristics including size, type, location and any other factors relevant to implementation of a long‐term health promotion project. [3‐6 month period after screening and recruitment of organisations and in a 3‐6 month period after commencement of intervention. ] Proportion reporting 'confident' or 'very confident' to the statement 'I feel confident in my ability to perform CPR ; This outcome will be assessed via a follow up survey held at 24 month time‐point in intervention arm participants (after completion of Reinforcement messages delivery)[24 months post‐intervention commencement] Proportion reporting 'confident' or 'very confident' to the statement 'I feel confident in my ability to perform CPR ; This outcome will be assessed via an evaluation survey held at 12 month time‐point in both intervention groups (after completion of intervention) and control groups (prior to commencement of their intervention)[12 months post‐intervention commencement] Proportion reporting 'confident' or 'very confident' to the statement 'I would feel confident to use an AED (Automated External Defibrillator) in an emmergency ; This outcome will be assessed via an evaluation survey held at 12 month time‐point in both intervention groups (after completion of intervention) and control groups (prior to commencement of their intervention)[12 months post‐intervention commencement] Proportion reporting 'good or excellent' to the statement 'I would rate my overall knowledge of AED or Defibrillator as...' ; This outcome will be assessed via an evaluation survey held at 12 month time‐point in both intervention groups (after completion of intervention) and control groups (prior to commencement of their intervention)[12 months post‐intervention commencement] Proportion reporting 'good or excellent' to the statement 'I would rate my overall knowledge of CPR as.' ; This outcome will be assessed via an evaluation survey held at 12 month time‐point in both intervention groups (after completion of intervention) and control groups (prior to commencement of their intervention)[12 months post‐intervention commencement] Proportion reporting 'receiving CPR training in the last 12 months by a qualified instructor or trainer'. This outcome will be assessed via an evaluation survey held at 12 month time‐point in both intervention groups (after completion of intervention) and control groups (prior to commencement of their intervention)[12 months post‐intervention commencement] Proportion reporting 'receiving CPR training in the last 12 months'. ; This outcome will be assessed via an evaluation survey held at 12 month time‐point in both intervention groups (after completion of intervention) and control groups (prior to commencement of their intervention)[12 months post‐intervention commencement] Proportion reporting 'Yes, probably' or 'Yes definitely' to the statement "If an AED / Defibrillator were available, I would be willing to use it in an emergency if they were stranger'. ; This outcome will be assessed via an evaluation survey held at 12 month time‐point in both intervention groups (after completion of intervention) and control groups (prior to commencement of their intervention)[12 months post‐intervention commencement] Proportion reporting 'Yes, probably' or 'Yes definitely' to the statement 'I would be willing to perform CPR (either standard or hands‐only) on a person collapsed and not breathing normally if they were a stranger' This outcome will be assessed via an evaluation survey held at 12 month time‐point in both intervention groups (after completion of intervention) and control groups (prior to commencement of their intervention)[12 months post‐intervention commencement] Reach of intervention ; Tools to assess this outcome: ; Program Delivery Documents: maintained by research assistants that document the number of organisations contacted and the proportion that agreed and were eligible to participate. ; Redcap Database: that will document the proportion of members at each participating that accessed various components of the program [At the beginning of study following screening and recruitment period. ; After completion of study.] Separate component of primary outcome : proportion reporting 'Yes, probably' or 'Yes definitely' to the statement 'I would be willing to perform CPR (either standard or hands‐only) on a person collapsed and not breathing normally if they were a stranger'. ; This outcome will be assessed via an evaluation survey held at 12 month time‐point in both intervention groups (after completion of intervention) and control groups (prior to commencement of their intervention)[12 months post‐intervention commencement] Separate component of primary outcome : proportion that report 'Yes' to the statement "Have you ever received any CPR training?" ; This outcome will be assessed via an evaluation surveys held at 12 month time‐point in both intervention groups (after completion of intervention) and control groups (prior to commencement of their intervention)[12 months post‐intervention commencement] INCLUSION CRITERIA: Community groups will need to meet the following inclusion criteria; i. At least 50 or more listed regular members or employees ii. Have an ability to communicate regularly with their membership by some electronic means (e.g. email/ text message/ in‐app communications/ social media/) and iii) Organisations must have a physical address in the study area Individual participants(members of participating organisations) will be eligible is they are i) Adults =/>18 years or older and ii) A current member or employee of randomised community groups